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General NPI Number Information
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NPI Number | 1710431556
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Entity Type | Organization
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Legal Business Name | HOME NON-PROFIT HOUSING CORP
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Dates
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Enumeration Date | 08/10/2016
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Last Update Date | 08/10/2016
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Provider Practice Location Address
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Address Line | 852 W ELM AVE ELM HOUSE
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City | MONROE
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State | MI
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Zip | 48162-7917
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Country | US
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Telephone | 734-242-2177
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Fax |
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Provider Business Mailing Address
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Address Line | 852 W ELM AVE ELM HOUSE
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City | MONROE
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State | MI
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Zip | 48162-7917
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Country | US
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Telephone | 734-242-2177
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. REXINE LYNN NEWHOUSE
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Credential |
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Telephone | 734-242-2177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | AL580007271
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License Number State | MI
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